Adherence to the Antibiotic Prophylaxis Guidelines for Appendectomy in Bahrain: An Observational Study.
anesthesia
antibiotics
appendectomy
appendicitis
prophylaxis
surgery
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
accepted:
31
03
2023
medline:
3
5
2023
pubmed:
3
5
2023
entrez:
3
5
2023
Statut:
epublish
Résumé
Background Appendicitis is a common clinical problem that has multifactorial etiologies. Accounting for almost 1 million hospital days per year, it poses serious health hazards. If not treated on time, it may burst. Surgical intervention is the best option in such cases. Prophylactic use of antibiotics has been shown to reduce post-operative infections. Methodology This prospective observational study aimed to evaluate the adherence to the antibiotic prophylaxis guidelines for appendectomy in patients admitted to the surgical department at Salmanyia Medical Complex in Bahrain from January to August 2020. From the electronic records of these patients, information was extracted and evaluated regarding demographic data, the type of antibiotics given for prophylaxis, the timing of the administration of the antibiotics, and any alternative antibiotic given based on local hospital guidelines. Results The current study revealed that the majority of the patients (98%, N=273) admitted to the Salmanyia Medical Complex, Bahrain, were not administered the antibiotics within the prescribed time (30-60 minutes) as per hospital guidelines. Also, the antibiotics administered for prophylaxis prior to the appendectomy procedure were not according to the guidelines, i.e., Cefazolin 1g with Metronidazole 500 mg. Out of a total of 278 patients included in the study, none were administered the right choice as provided by the local guidelines. Second, 1.8% of patients (5 out of 278) were not administered any antibiotics for prophylaxis prior to the surgical procedure for appendicitis. Conclusion The study concluded that most patients were not administered antibiotics according to the local guidelines of the hospital.
Identifiants
pubmed: 37131567
doi: 10.7759/cureus.36975
pmc: PMC10149150
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e36975Informations de copyright
Copyright © 2023, Alanzi et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Am Coll Surg. 1995 Jan;180(1):77-80
pubmed: 8000659
PLoS One. 2014 May 06;9(5):e96476
pubmed: 24802879
Scand J Surg. 2014 Mar;103(1):14-20
pubmed: 24056131
Am Fam Physician. 2018 Jul 1;98(1):25-33
pubmed: 30215950
Eur Surg Res. 2008;40(2):211-9
pubmed: 17998781
Trop Gastroenterol. 1997 Oct-Dec;18(4):177-9
pubmed: 9612103
Cochrane Database Syst Rev. 2003;(2):CD001439
pubmed: 12804408
Eur Radiol. 2003 Oct;13(10):2278-82
pubmed: 12845461
J Pediatr Surg. 2010 Nov;45(11):2181-5
pubmed: 21034941
Cochrane Database Syst Rev. 2011 Nov 09;(11):CD008359
pubmed: 22071846
Radiology. 2018 Sep;288(3):717-727
pubmed: 29916776
Eur J Surg. 1995 Jun;161(6):431-3
pubmed: 7548380
BMJ. 2006 Sep 9;333(7567):530-4
pubmed: 16960208
World J Emerg Surg. 2018 Jun 28;13:28
pubmed: 29988464
World J Emerg Surg. 2020 Apr 15;15(1):27
pubmed: 32295644
Am Fam Physician. 2005 Jan 1;71(1):71-8
pubmed: 15663029
Eur Radiol. 2005 Oct;15(10):2096-103
pubmed: 15912331
Surg Infect (Larchmt). 2014 Dec;15(6):781-5
pubmed: 25401521
J Pediatr Surg. 2019 Jul;54(7):1365-1371
pubmed: 30115448